If you are experiencing symptoms, or suspect you have measles, please CALL your health care provider BEFORE entering a facility.

The MMR (Measles, Mumps, and Rubella) Vaccine is on the CDC's list for Routine Vaccinations and are typically administered to Children at 12 to 15 months of age and again at 4 to 6 years of age; however, the vaccine is available for children that are older AND adults that have not had their vaccines or that are unsure of their vaccination status at the Immunization Clinic of the Wichita Falls-Wichita County Public Health District for the following fees:

Children:

• In-Network: The Health District will file to your insurance per dose (Please check with your insurance carrier to determine coverage)
• Out-of-Network: $120 per dose (You may also check with your health care provider and insurance for in-network locations that have the MMR Vaccine)
• No Insurance: Fee ranges from $10 to $54 per dose- Children with no insurance pay on a sliding scale based on income, how many people are in the family, and how many vaccines are needed with the Texas Vaccines for Children (TVFC) Program.

Adults:

• In-Network: The Health District will file to your insurance per dose (Please check with your insurance carrier to determine coverage)
• Out-of-Network: $120 per dose (You may also check with your health care provider and insurance for in-network locations that have the MMR Vaccine)
• No Insurance: $25 per dose under the Adult Safety Net (ASN) Program

The Measles Blood Titer Test checks for Measles antibodies in your blood to see if you have immunity to Measles. The Measles Blood Titer Test is available at the Immunizations Clinic of the Wichita Falls-Wichita County Public Health District for $27.

Immunizations Clinic Hours and Location

Monday-Thursday 8:00 am - 4:30 pm

Friday 8:00 am - 1:00 pm

Late Immunizations Clinic open until 5:30 pm, the fourth Monday of each month

Wichita Falls-Wichita County Public Health District

1700 3rd Street, Wichita Falls, TX 76301

Cases among Employees or Attendees at Schools 

Exclude persons with suspected measles from school until 4 days have passed since rash onset if not immunocompromised.

• All students and school staff born in or after 1957 who cannot provide adequate evidence of immunity should be vaccinated, regardless of exposure status. A first dose should be given to those who are unvaccinated. Recommend a second MMR to persons who have previously received only one MMR as long as 28 days have passed since the first dose.
• Identify all persons at the school who were potentially exposed to the case.
  • Recommend that susceptible, unimmunized persons receive the MMR vaccine within 72 hours of exposure (or if immunocompromised, pregnant or under one year of age, IGIV or IG within 6 days). Exclude all exposed persons who were susceptible and unimmunized at the time of exposure unless they received PEP (see Table 1).
  • Exposed persons who had received one dose of measles-containing vaccine prior to the exposure can return to school after they receive their second dose of MMR but should be educated about symptoms of measles and told to stay home if symptoms develop.
  • Susceptible, unimmunized persons who continue to refuse the recommended measles vaccination(s) following exposure to measles should be asked to stay home from school or childcare until 21 days after the last date the unimmunized child was exposed. 
• Maintain daily active surveillance of all school contacts to assess for prodromal signs and symptoms of rash illnesses compatible with measles for 21 days from the last possible exposure in the school.

Cases among Employees or Attendees at Childcare Facilities

Exclude persons with suspected measles from childcare until 4 days have passed since rash onset if not immunocompromised. 

• All students and staff born in or after 1957 who cannot provide adequate evidence of immunity should be vaccinated, regardless of exposure status (assuming they are old enough for MMR). A first dose should be given to those who are unvaccinated. Recommend a second MMR to persons who have previously received only one MMR as long as 28 days have passed since the first dose.
• Identify all persons at the childcare facility who were potentially exposed to the case.
  • Recommend that susceptible, unimmunized persons receive the MMR vaccine within 72 hours of exposure (or if immunocompromised, pregnant or under one year of age, IGIV or IG within 6 days).  
    • Exclude all exposed persons who were susceptible and unimmunized at the time of exposure (see Table 1), regardless of PEP.
  • Exposed persons who had received one dose of measles-containing vaccine prior to the exposure cannot return to childcare after they receive their second dose of MMR.
  • Susceptible, unimmunized persons who continue to refuse the recommended measles vaccination(s) following exposure to measles should be asked to stay home from childcare until 21 days after the last date the unimmunized child was exposed.
• Maintain daily active surveillance of all childcare contacts to assess for prodromal signs and symptoms of rash illnesses compatible with measles for 21 days from the last possible exposure in the school.

Case(s) in a Medical Setting

• To prevent measles outbreaks in health care settings, health care workers (defined as anyone who works, studies or volunteers in a healthcare facility of any kind) should have documented immunity to measles before exposure, ideally as a condition of employment.
  • Health care facilities should maintain readily available documentation of immunity.
  • Acceptable evidence of immunity to measles in health care workers includes (MMWR 1998; 47[No. RR-8]:11):  
    • Documented administration of 2 doses of live measles virus vaccine given on or after the first birthday (inactivated measles vaccines were in use from 1963–1967), or  
    • Laboratory evidence of immunity, or  
    • Born before January 1, 1957 – Healthcare facilities should consider recommending measles, mumps, rubella (MMR) vaccination for unvaccinated workers born before 1957 without a history of measles disease or laboratory evidence of immunity, or  
    • Documentation of health care provider-diagnosed measles.
• If a person with measles is treated in a health care setting during the contagious period, identify all potentially exposed patients, visitors, health care workers, volunteers and other staff and assess status of their immunity to measles.
• If an exposed healthcare worker has had only one documented dose of measles-containing vaccine, give an additional dose of vaccine. If the second dose can be given with 72 hours of the exposure, consider the person immune. If vaccine cannot be administered within 72 hours, the healthcare facility can test for measles IgG serology and consider the person immune if the test is positive for measles specific IgG. If the serology is not done or negative, the worker should be furloughed for an incubation period.
• If the exposed healthcare worker was born on or after January 1, 1957, and has no documented evidence of immunity, a dose of measles-containing vaccine should be given immediately and no more than 72 hours after exposure. At the same time, a serologic test for measles IgG should be done to verify immunity. If immunity to measles is not serologically confirmed, the person must be furloughed from day 5 after the first exposure to day 21 after the last exposure.
• If the exposed healthcare worker was born before January 1, 1957, and has no documented evidence of immunity, a serologic test for measles IgG should be considered to verify immunity. If immunity is not confirmed, the person must be furloughed from day 5 after the first exposure to day 21 after the last exposure.
• If the exposed healthcare worker has had two documented doses of measles vaccine given on or after the first birthday and at least 28 days apart, consider the person immune.
• In summary, exposed susceptible health care workers should be immunized immediately and no more than 72 hours after exposure, and furloughed from day 5 after the first exposure to day 21 after their last exposure. This includes healthcare workers born at any time who have no documented evidence of immunity, and workers born in 1957 or later with only one previous dose of measles-containing vaccine documented who did not receive a second dose within 72 hours of exposure. (If furloughing of this second group is not possible due to large numbers exposed, these staff should have their temperatures taken and be assessed for prodromal symptoms when they come to work on the 5th through 21st day after the exposure. Anyone with a fever, cough, coryza, or conjunctivitis should be furloughed for the duration of symptoms and assessed for measles if a rash develops. This screening procedure must be followed rigorously to prevent staff members with prodromal measles from infecting others.)
• Healthcare workers who develop measles must avoid patient contact until 4 days have passed since the rash onset.
• Only health care workers with documented immunity to measles should enter the room of a suspected measles patient.
• Exposed patients should likewise have their immune status assessed and be given vaccine if they are not immune; school and work restrictions of unimmunized contacts apply.

Provider, School & Child-Care Facilities, and General Public Reporting Requirements Confirmed and clinically suspected cases are required to be reported immediately to the local or regional health department or to DSHS EAIDU at (800) 252-8239 or (512) 776-7676.